64/M with obstructive uropathy

July 18, 2022

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A 64yr old male presented to casualty with generalised oedema, decreased urine output, Shortness of breath since 10 days

He was apparently alright 4 years back, had history of pain abdomen and abdomen tightness and was brought to hospital, diagnosed with renal calculi and underwent PCN in our hospital and was discharged in 3-4 days

He was diagnosed to be diabetic and hypertensive 2 years back and on irregular medication

He had another admission around November of 2020 on being unresponsive and was in ICU for 4-5 days diagnosed to be hypoglycaemic and on OHA’s labs showing creatinine of 5.94 and was advised for dialysis and on refusing was discharged

He had on and off pedal oedema with no history of decreased urine output, hematuria, frothy urine or lower urinary tract symptoms

10 days back he had history of fever with loose stools with decreased urine output for one day and anuria for 3 days and was taken to local hospital and underwent 4 sessions of hemo dialysis ( creating 12.1 ) on economic constraints he was referred to our hospital for further management

He was happily married with three sons

Owns three acres of land and is farmer by occupation used to grow oranges or cotton or rice later on since 10-12 months he was unable to go to work

He has an occasional intake of alcohol( monthly once or twice ) and smokes tobacco pipe daily for the past 10-15 years

General examination :

On admission

Pallor +

Anasarca +

Pitting type

Vitals

BP : 160/90

PR : 106/m

Febrile to touch : 101F